SEC FORM
4/A
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
CRYOLIFE, INC. |
1655 ROBERTS BLVD., NW |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
CRYOLIFE INC
[ CRY ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
VP Reg. Affrs. and Qual Assur. |
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3. Date of Earliest Transaction
(Month/Day/Year) 02/21/2006
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4. If Amendment, Date of Original Filed
(Month/Day/Year) 02/23/2006
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
02/21/2006 |
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A |
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2,800 |
A |
$0
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16,299 |
D |
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Stock Option |
$4.25
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02/21/2006 |
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A |
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17,200 |
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02/21/2007
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08/21/2011 |
Common Stock |
17,200 |
$0
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17,200 |
D |
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Explanation of Responses: |
Remarks: |
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/s/ David Fronk |
03/08/2006 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
EXHIBIT 24.1
CONFIRMING STATEMENT
This
Statement confirms that the undersigned has authorized and designated the Chief Executive
Officer or the Chief Financial Officer of CryoLife, Inc. to execute and file on the
undersigneds behalf all Forms 3, 4 and 5 (including any amendments thereto) that the
undersigned may be required to file with the U.S. Securities and Exchange Commission as a
result of the undersigneds ownership of or transactions in securities of CryoLife,
Inc. The authority of the Chief Executive Officer or the Chief Financial Officer of
CryoLife, Inc. under this Statement shall continue until the undersigned is no longer
required to file Forms 3, 4 and 5 with regard to the undersigneds ownership of or
transactions in securities of CryoLife, Inc., unless earlier revoked in writing. The
undersigned acknowledges that the Chief Executive Officer or the Chief Financial Officer
of CryoLife, Inc. are not assuming any of the undersigneds responsibilities to
comply with Section 16 of the Securities Exchange Act of 1934.
Dated as of February 23, 2006 |
/s/ David M. Fronk |
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David M. Fronk |